James tbullingeb



(No Model.)

J. TRULLINGER.

ARTERY LIGATOR.

No 354,029. Patented Dec. 7, 1886.

mfnessea N. PETERS, Pholoiflhogrmpher. Washington, D. C

UNrTED STATES PATENT "'E'FFICE.

JAMES TRULLINGER, OF SILVERTON, OREGON.

ARTERY-LIGATOR.

SPECIFICATION forming part of Letters Patent No. 854.029, dated December7, 1886.

Application filed February 17, 1886. Serial No. 192,248. (No model.)

To aZZ whom it may concern:

Be it known that I, Janus TRULLINGER, of Silverton, in the county ofMarion and State of Oregon, have invented a new and Improved LigatingInstrument for Ligating Arteries and Veins and Preventing Hemorrhage ofSevered Veins and Arteries, of which the following is a specification.

The object of the invention is to provide a ligating-instrument wherebya slit can be made in a severed artery or vein, and by which the end ofthe artery or vein can be drawn through the slit speedily and in suchmanner that the artery or vein (as the case may be) will be efficientlyand permanently closed, so as to effectually stop and preventhemorrhage, primary or secondary, without the use of thread, silk, orother foreign substance than the artery or vein itself, and to the endthat the wound may heal with the first intention and that the artery orvein may be more quickly secured against bleeding than by any othermethod; and to this end the invention consists in an instrument ofpeculiar construction. all as will be hereinafter more fully explained,and specifically pointed out in the claims.

Reference is to be had to the accompanying drawings, forming part ofthis specification, in which similar letters of reference indicatecorresponding parts in all the figures.

Figure l is a perspective view of the instrument complete, in which Drepresents the handle of theinstrument, having properly fixed at one endthe curved or crescent shaped blade A. This blade has a sharp outeredge, c c, a barb, B, and a fine point, C, where the blade comes near tobody of the instrument. J is the heel of the blade, and is close to theend of D. At the opposite end there is provided the arteryhook F, on theferrule or tip E.

In the other figures of the drawings is illus trated the method of usingthis instrument for the purpose of taking up and ligating the artery asfollows: 7

Fig. 2 is a view of an artery, H H, with its severed endf, the slit orincision a made first in using the instrument, the slit 1) made by thepoint and barb only.

Fig. 3 is a view of the position of the blade A with relation to theartery H H when the point of the blade is about being inserted into theartery. The point C is to enter the artery about the width of the bladefrom the severed end f, to make the incision a.

Fig. 4 represents the blade as having passed about half its lengththrough the artery at the incision a, while the instrument is beingrotated.

Fig. 5 represents the point 0 about to penetrate artery as theinstrument isrotated to make the slit or incision b.

Fig. 6 represents the barbed point B O as having passed through theartery at incision b. At this point the rotary motion must be reversed.

Fig. 7 represents the rotary mot-ion of the instrument as having beenreversed, whereby the point of the artery f is caught by the barb B, andby the reverse rotary motion is being carried toward the incision a.

Fig. 8 shows the end of the arteryf as being carried through theincision a by the barb B, one position of the artery being representedby dotted lines. After the end f of the artery H H has been whollycarried through the incision ct by the reverse rotary motion of theinstrument, then by a re-reverse motion of the instrument the barb B isdisengaged from the incision I), and then the instrument has beenwithdrawn and the operation is complete.

Fig. 9 represents the reverse side of the knot K at the incision a; andFig. 10 represents the obverse side of the knot K in the artery H H atthe incision a, and the operation is completed.

Inoperation, the endf of the artery H H is grasped by an ordinary pairof forceps, or by the fingers and thumb of the operator. The blade A isthen placed under the artery with the heel Jnear the end f, and thepoint C at the proposed incision to. Then, by a rotary motion of theinstrument, the point C of the blade A is passed up through both wallsof the artery, making the incision a, the rotary motion being continueduntil the point 0 passes through the artery from the top down, makingthe incision b, and until the barb B has passed through the artery atthe incision b, when the rotary motion of the instrument is reversed,causing the barb B to catch and carry the end f back through theincision a. Then. bya rereverse motion of the instrument, the barb Bisdisengaged from the artery, and the operationis complete, and by it eachdivision of the artery caused by the incision a has been twisted in suchmanner as to force the lining membrane of the artery to retract and plugup the artery immediately above the incision a, and to cause it toremain there, thereby effectually preventing hemorrhage.

The hook F on the small shaft E is used for pursuing and taking up theend f of the artery H H when the same has retracted from the face of awound, and drawing the artery out so that it can be grasped by theforceps or fingers.

Having thus described my invention, what I claim as new, and desire tosecure by Letters .Patent, is-

JAMES TRU LINGER.

WVitnesses: I

J. S. HENRY, G. F. BILLINGS.

